So.. I'm a wood worker, so i'm very familiar with this situation, soft woods will strip with less torque then hard woods. My question is.. what the hell do you do if you strip a titanium screw in someones jaw. I feel like the stakes are a little bit higher.. Do you just redrill the hole slightly bigger and go up a size? or do you have to give them a bone graft and revisit the issue in 6 months.
Thank you for taking the time to have this very honest conversation of the down side/potential reasons for implant failure. As a patient it helps ease not only dental fears but most importantly, IMO a dentist who is brutally honest and takes time to fully inform a patient tells me they're primary concern & care is for the patient not solely their bottom line!
thanks for the comment. i honestly try to set expectations of what can go wrong. everybody knows the upsides of dental implants and how life changing they are. we just want people to be prepared for any potential things that can go wrong
Obviously the role of gauging bone density doesn't fall upon the patient. Therefore, if a doctor decides to place implants in bone that doesn't meet the acceptible density requirements for a successful outcome, is this considered malpractice?
I would think that since all of the possible ways an implant could fail (including bone density) are discussed pre-surgery and agreed to in writing by your signature / initials, that you have agreed to share in that risk and possibility of failure with your full understanding of said risk.@@ErwinEnriquez
From moral standpoint yes legally probably not. I signed consent form yesterday to have my teeth pulled. The risk of nerve damage and possible bone damage. I already knew and had the teeth pulled. For someone like me with active infection that spread to the bone in my jaw. It would put at high risk of infection and implant failure. If you are concerned about the risk. I wouldn’t do this.
Better not happen in Nevada! I just found out our state laws favor any and every dentist instead of the consumer. Our laws here are so scary that no attorney wants to even think about suing any dentist here! As a dental patient, you are on your own here.
I’d love for you to walk through more examples of specific cases and how any of the reasons for failure were related-similar to showing the difficult extraction case and how important atraumatic extraction is. I love your info. Thank you!
@@northtexasdentalsurgerydid you post it ? I’m interested to know do you think it’s smarter to heal up with implants before placing a temporary teeth? I’m getting all my teeth yanked and who knows what kind of infection is in there. I’m worried now it will spread. I’m paying $55,000
In December, on a Tuesday, I had my teeth extracted (i had active infection, but took antibiotics for the week prior to surgery) and implants put in at the time of extraction. The next day, Wednesday, I left with my final teeth.. It is now mid May and I've had no issues with my implants. I had xrays and scans done this last week and all is great... but i went to Golpa G4 in Dallas (saw Dr Kelsey, he's awesome). The way Golpa does the implants at an angle, makes all the difference.. it makes more sense to place implants during extraction, no need to traumatize your gums and bone twice, the hole is already open. Let it heal one, vs, letting it heal from extractions then making a new wound later to insert implants... all in one day worked for me, and no more infections, woo hoo
Do you ever worry about Anastasia Dolorosa? I just had all my top removed and doing alright but my bottom are jealous and I have two extremely painful. I am a clenched but I have very good hygiene. My AD is off the chart but I am 3.5 years into it caused by TN. Let's hope this works out I am a month plus out and have had single implants that have been successful. Thanks for your examples.
Hi, I am a Diabetic 5 weeks ago I went from Illinois to Florida to get All on 4s do to price had all my teeth extracted 4 posts put in on top and not your videos have me scared. I’m not in allot of pain some But now allot just when I Push above hung on one side feels like it comes from ain’t. But the Dr never told me I was at risk as a diabetic. I’ve been battling this for years and can’t get A1c down how do I know if it’s failing? Fl was the only affordable option that with resurch was good but they are a bet place I go back in 3 months to get teeth put on
Would it improve the odds of success if the patient decided not to go with a temp and just go without teeth and let the implant sites heal properly? Would this also save any amount of money or is it really better to get the temps?
When you were talking about zirconium, where you talking about it being a zirconium implant or a zirconium crown on the implant? I want a zirconium implant because my body is very sensitive to many things.
I Had my All on 4 surgery 7 days ago. I was given a short Term antibiotic. However My Gums got infected after The Meds. Had to go to Urgent Care & gave me Clindamycin. So I hope that helps my Gums and doesnt damage my chances.
I hope you are feeling better and your implants are doing well now. We really are all in the same boat. Whether you replace your missing teeth with dentures like me. Or implants like you and my younger brother. We all just want to be able to smile and eat. Without being embarrassed I think that is very reasonable request.
Big advances for dental implants HARVARD HEALTH LETTER APRIL 1, 2021 Smaller sizes and high-tech placement methods mean more people are candidates for prosthetic teeth. If you’ve been told you’re not a candidate for dental implants, it’s time to revisit the subject. Dental implants - permanent prosthetics implanted into the jaw - have changed. "In the last five years, we’ve learned that smaller implants can work just as well as regular-size implants, and this makes more people candidates for them," says Dr. German Gallucci, department chair of restorative dentistry at the Harvard School of Dental Medicine
When do you determine if a patient has possible infection problems? First, appt? If that is a problem, what happens then? I have had many root canals and a bad abcess last year and considering this process soon.
The infection part I had the same problem and had my teeth pulled yesterday for dentures. There is added risk if you have had prior infection. Hopefully you will be fine. But you need to be aware that you may have chance of unsuccessful outcome. Do your research and understand the pros and cons.
If a patient has an ongoing root canal infection in multiple areas, would you then suggest they take antibiotics for some time prior to the surgery? Thanks!
I like you had bunch of infection that spread. Yesterday they pulled the last ten teeth I had. So I can eventually get dentures. They were taking out infected soft pieces of bone along with the teeth. Me doing this because of the level of infection I had. Would put me at high risk for implant failure and infection. My mom has several implants that replaced old root canals. Four of them failed and another one got infected. They all had to be done again. At full price those are the risks. My mom agreed before they put the implants in.
Thank god i got the 3 on 6 at the utah smile clinic with the innovator Dr. Randy Robert's. And keep all of my bone and my natural gums😊 all on 4 you have to shave off half your bone and it awful
This major surgery you take medication every day. That acts to suppress your immune system. So your body doesn't reject your new liver. Your chances of infection and implant failure would be extremely high. Could possibly cause your new liver to fail or cost you your life. Get removable dentures. No risk and no surgery.
Hi I just had my all on 4 top and bott last month ..but my dentist didn’t screw in my temporary teeth .so I will be wearing denture for 4 to 6 months ..till he put my permanent zirconia teeth.is that a good idea.what he told me he will not screw in to avoid breaking temporary teeth and cause implant to fail. What do you think about this ? I hope you can explain it to me ..thanks
I question this also, my dentist did my all on x and said I had to wear my dentures 4 months then can put zirconia prosthesis in but I question why not have a temp so know how it will look even after I heal from wearing dentures.
My understanding is there is space between the implants and your gums. I had bridge not implants. There was small space between the bridge and my gums. I used water pick to clean in that space. I never had any problems with the bridge.
Question, ive been told i need all my teeth extracted due to bone loss and risks of life threatening infections especially because i have heart issues, had 2 Widowmaker heart attacks and had 3 stents placedand was suggested i get the smap in implants dentures. What are questions i should ask before any procedure to assure all goes well., im 51 urs old.
It's crazy how bone graft hasn't popped up in here. You said something about some patients may not have bone at all and didn't even speak of a bone graft
